To study the prehospital emergency system guided by MPDS and its effects on improving the treatment level and prognosis of stroke patients. 325 new acute stroke patients who were admitted to emergency department from April 2014 to March 2015 were divided into 2 groups: those rescued by MPDS (n=171), and those that went to the ER by themselves (n=154). The time of first aid, case fatality ratio, complication rate, National Institutes of Health Stroke Scale (NIHSS) and Barthel Index scores were compared between the two groups. Time of admission to the emergency department, case fatality ratio...
Suzhou first aid center began to use the MPDS system in January 1, 2011. This study looked at Suzhou emergency center transports of 641 cases of acute myocardial infarction in patients with a retrospective analysis. The study aims to explore the MPDS in acute myocardial infarction patients to see the effects of the new prehospital treatment. The 641 AMI patients, for whom Suzhou Emergency Center had been involved in their prehospital treatment and transportation from January 2008 to January 2014, were selected for the study. These patients were divided into MPDS Group (389 cases, after Suzhou...
Without bystander CPR, cardiac arrest survival decreases 7%-10% for every minute of delay until defibrillation. Dispatcher-assisted CPR (D-CPR) has been shown to increase the rates of bystander CPR and cardiac arrest survival. Other reports suggest that the most critical component of bystander CPR is chest compressions with minimal interruption. Beginning with version 11.2 of the Medical Priority Dispatch System™ (MPDS) protocols, instructions for mouthto-mouth ventilation (MTMV) and pulse-check were removed and a compressions-first pathway introduced to facilitate rapid delivery of...
In the absence of bystander Cardiopulmonary Resuscitation (CPR), cardiac arrest survival decreases 7%-10% for every minute of delay until defibrillation. Dispatcher-assisted CPR (D-CPR) increase rates of bystander CPR and cardiac arrest survival, with chest compressions recognized as the most important component of bystander CPR. To facilitate rapid delivery of chest compressions, the Medical Priority Dispatch System (MPDS™) altered instructions for mouth-tomouth ventilation (MTMV) and removed pulse-check, plus other minor changes to the D-CPR pre-arrival instructions. However, factors beyond...
Bystander Cardiopulmonary Resuscitation (CPR) has been recognized as a critical component in the survival of out-of-hospital cardiac arrest (OHCA); likewise, time is a factor in the effectiveness of CPR. Pre-arrival instructions (PAIs) for CPR performance by Emergency Medical Dispatchers (EMDs) increase the rate of bystander CPR and OHCA survival. While uncontrollable barriers to PAIs delivery exists, time to first compression (TTFC) remains a modifiable component of the EMD-caller interaction. To develop a model describing the impact of TTFC intervals of...
Adequate chest compression (CC) depth is paramount for resuscitation outcomes. Elderly rescuers are often unable to achieve the required 5-6 cm CC depth; thus, we investigated new strategies to improve CC performance. To evaluate the effects of the Andrew Maneuver (four-hands CC) on the depth of CCs performed by elderly bystanders in the setting of simulated dispatcher-assisted cardiopulmonary resuscitation (DA-CPR). A randomized controlled trial conducted in December 2013. Sixty-eight lay rescuers aged 50–75 were randomized to intervention or control pairs (males and females separately)...
The job of an emergency dispatcher is inherently stressful. As a 9-1-1 dispatcher, it is expected to receive a call for a multi-system trauma victim, a child drowning, an assault, amongst thousands of others, will be answered. These stressors are encountered multiple times per shift. While answering the call is controllable, the stressor on the other end is not. To examine the relationships of emergency dispatchers' home and work life, and present perceived control (how one focuses energy on what can be controlled in an uncontrollable situation) on secondary traumatic stress (STS), the effects...
Yorkshire Ambulance Service (YAS) completed a study which evidenced through quantitative data that Continuing Dispatch Education (CDE) improves service performance. In 2014 a CDE research poster was presented at a conference organized by the International Academies of Emergency Dispatch™ (IAED). To further understand what motivated this improvement, Emergency Medical Dispatchers (EMDs) were asked to reflect on CDE undertaken and highlight which support they found most helpful. The responses were analyzed to assess what methods of CDE would be most effective in generating service improvement...
Air ambulances are scarce and expensive assets. To be used efficiently they need to be dispatched to patients who will gain the most benefit. To identify factors associated with low standdown rates and high conveyance rates, suggesting efficient use of air ambulance resources. Eight months' call history for a single United Kingdom air ambulance (National Health Service (NHS) paramedic/doctor crew, charity-funded aircraft) covering two English counties was retrospectively analyzed. Standdown and conveyance rates were calculated for (medical, trauma, road traffic collision (RTC)) types of call...
Diabetes is a major global problem. Diabetes and pre-diabetes are risk factors for increased incidence of cardiovascular disease. In 2014, the prevalence of diabetes worldwide was estimated at 9% among adults above 18 years of age. According to International Diabetes Foundation (IDF), 381 million people in 2013 had diabetes. To study the prevalence of diabetes and pre-diabetes in patients with acute coronary syndrome (ACS). This cross-sectional study was carried out on patients admitted to the hospital (N.K.P Salve Institute of Medical Sciences and Research Centre, Nagpur city, India) with ACS...
